Rural Parish Clinic of the Archdiocese of St. Louis

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS

Practice address

10120 Crest Road
Cadet, MO 63630-9629

Phone

(888) 870-9610

Fax

(573) 438-3685

NPI assigned

Oct 10, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick G. Bira

Title

Executive Director

Phone

(573) 979-4972

Specialties & licenses 1

Addresses

Other names 1

• Rural Parish Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1396210852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ARCHBISHOP MAY DRIVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-792-7717",
            "fax_number": "314-289-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 CREST ROAD",
            "city": "CADET",
            "state": "MO",
            "postal_code": "636309629",
            "telephone_number": "888-870-9610",
            "fax_number": "573-438-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL PARISH CLINIC OF THE ARCHDIOCESE OF ST. LOUIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BIRA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-979-4972"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rural Parish Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rural Parish Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kingston School Dist 14
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• Tarrah Marie Oshia, LCSW
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• Silvertip Medical Services, LLC

• Adult Medicine Physician in Cadet, MO
• Providers in Cadet, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.